2462 Industrial BLVD.
Grand Junction, CO 81505
Application for Employment
an Equal Opportunity Employer
Are you at least 18 years of age or older?
Are there any reasons you cannot work overtime or weekends?
Are you willing to work out of town?
If you are not a United States citizen, do you have permission to live and work in the U.S.?
Can you, after employment, submit verification of your legal right to work in the U.S.?
Do you posses a valid COLORADO driver's license?
Do you posses a valid driver's license from another state?
Do you have a CDL license?
Class AClass BClass CHazmatNone
Describe previous asphalt, sealcoating, or crackfilling experience:
Name of School / Degree Earned
High / Prep
Supervisor / Foreman
Position / Title
Reason for Leaving
ASPHALT SPECIALISTS & SUPPLY, INC. has a strict DRUG DETECTION POLICY. Employees may be subject to substance (drug and alcohol) screening per Asphalt Specialists & Supply, Inc.'s Drug Detection Policy as described in its Employee Handbook.
I understand, prior to employment, I will be required to read and agree to comply with the rules set forth in the Asphalt Specialists & Supply, Inc. Employee Handbook.
I accept that all above information is accurate and true.